Organization Active NPI

Watson Wellness, Inc

  • Chiropractor
  • Amherst, OH
National Provider Identifier
1982935995
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3736 Issued in OH
Legal business name
WATSON WELLNESS, INC
Practice address
1815 Cooper Foster Park Rd
Amherst, OH 44001-1206
Phone
(440) 960-2824
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeremy W Watson, D.C.NPI 1225064256
Title
Owner
Phone
(440) 960-2824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3736 OH Primary

Addresses

Primary practice location

1815 Cooper Foster Park Rd
Amherst, OH 44001-1206

Mailing address

1815 Cooper Foster Park Rd
Amherst, OH 44001-1206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100125000773 OH Part B Supplier - Clinic/Group Practice 9335281625 Receives reassigned benefits from 1 practitioner
Practice locations: Amherst, OH

National Provider Directory

National Provider Directory

Locations

162 Park Ave
Amherst, OH 44001
Phone (440) 452-7420

1815 Cooper Foster Park Rd
Amherst, OH 44001
Phone (440) 960-2824

36711 American Way
Ste 2A
Avon, OH 44011
Phone (440) 452-5431

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1982935995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 COOPER FOSTER PARK RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 COOPER FOSTER PARK RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011206",
            "telephone_number": "440-960-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-960-2824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.